Student Assent and Baseline Forms

Impact Evaluation of Upward Bound's Increased Focus on Higher-Risk Students - Baseline Data Collection Protocols

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0822 can be found here:

Documents and Forms

Document Name Document Type
Att_Attachment 2 Student Informed Assent 12-15-06.doc Other-Assent form
Att_Attachment 3 UB BIF for Students 12-15-06.doc Other-baseline form

Information Collection (IC) Details

IC Title:	Student Assent and Baseline Forms	Agency IC Tracking Number:	3242

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Assent form			Att_Attachment 2 Student Informed Assent 12-15-06.doc		No		Paper Only
Other-baseline form			Att_Attachment 3 UB BIF for Students 12-15-06.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,200	3,600	3,600
Annual IC Time Burden (Hours)	2,100	0	2,100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.